Figure 6: Hand-wrist radiograph showing soft tissue syndactyly of all the digits and synostosis involving phalanges of second, third and fourth digits and metacarpels of both the hands

Mentions:
Radiographs of both hands and feet showed soft tissue syndactyly of all the digits and synostosis involving phalanges of second, third and fourth digits of both the hands and the metacorpals of both the hands and feet with a deformed great toe (Figs 6 and 7). Anterioposterior skull radiographs revealed fused coronal sutures, turribrachycephalic skull contour, bitemporal widening, hypertelorism and increased convolutional markings. Three-dimensional CT reconstructions in a superoinferior view showed a midline defect extending from glabella to posterior fontanelle with abnormally wide anterior and posterior fontanelle (Fig. 8). Bilateral symmetric synostosis of coronal and lamdoid sutures was also present (Fig. 9). Axial sections at level of plexus choroideus showed agenesis of corpus callosum. All findings were diagnostic of Apert syndrome.

Figure 6: Hand-wrist radiograph showing soft tissue syndactyly of all the digits and synostosis involving phalanges of second, third and fourth digits and metacarpels of both the hands

Mentions:
Radiographs of both hands and feet showed soft tissue syndactyly of all the digits and synostosis involving phalanges of second, third and fourth digits of both the hands and the metacorpals of both the hands and feet with a deformed great toe (Figs 6 and 7). Anterioposterior skull radiographs revealed fused coronal sutures, turribrachycephalic skull contour, bitemporal widening, hypertelorism and increased convolutional markings. Three-dimensional CT reconstructions in a superoinferior view showed a midline defect extending from glabella to posterior fontanelle with abnormally wide anterior and posterior fontanelle (Fig. 8). Bilateral symmetric synostosis of coronal and lamdoid sutures was also present (Fig. 9). Axial sections at level of plexus choroideus showed agenesis of corpus callosum. All findings were diagnostic of Apert syndrome.